Active NPI
Heidi Jane Grundy, D.C.
- Electroneurodiagnostic Specialist/Technologist
- Skillman, NJ
National Provider Identifier
1083732887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 10 Vreeland Dr
Suite 106
Skillman, NJ 08558-2620 - Phone
- (609) 688-9200
- Fax
- (609) 688-9234
- NPI assigned
- Mar 27, 2007
- Last updated
- Feb 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00626800 | NJ | |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
10 Vreeland Dr
Suite 106
Skillman, NJ 08558-2620
Mailing address
10 Vreeland Dr
Suite 106
Skillman, NJ 08558-2620
Phone (609) 688-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00626800 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Integrated Healthcare | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1083732887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 VREELAND DR",
"address_2": "SUITE 106",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085582620",
"telephone_number": "609-688-9200",
"fax_number": "609-688-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 VREELAND DR",
"address_2": "SUITE 106",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085582620",
"telephone_number": "609-688-9200",
"fax_number": "609-688-9234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDY",
"first_name": "HEIDI",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00626800",
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skillman, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.